| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,907 |
2,619 |
$91K |
| E0601 |
Cont airway pressure device |
2,055 |
1,831 |
$46K |
| E0431 |
Portable gaseous 02 |
1,435 |
1,263 |
$41K |
| A7030 |
Cpap full face mask |
308 |
287 |
$18K |
| E0562 |
Humidifier heated used w pap |
679 |
598 |
$13K |
| E0570 |
Nebulizer with compression |
860 |
800 |
$6K |
| A7035 |
Pos airway press headgear |
364 |
324 |
$5K |
| A7038 |
Pos airway pressure filter |
1,211 |
1,099 |
$5K |
| A7031 |
Replacement facemask interfa |
157 |
148 |
$4K |
| A4604 |
Tubing with heating element |
346 |
327 |
$3K |
| A7037 |
Pos airway pressure tubing |
25 |
25 |
$837.42 |
| A7046 |
Repl water chamber, pap dev |
108 |
101 |
$749.60 |
| E1392 |
Portable oxygen concentrator |
14 |
12 |
$62.82 |